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EN
Chronic low back pain affects 50-80% of the population, while its consequences may impair the functioning of patients suffering from it, in many spheres of life . Hope is a factor which may influence coping with pain as well as cognitive reflection of pain experience. The aim of the study has been to check: 1) whether dependencies exist between hope-trait and hope-state and the perception of pain; 2) whether experiencing pain at the time of filling questionnaires matters for the assessment of the level of hope; 3) whether there is interaction between hope, the pain experienced at the moment of investigation, and memory of the intensity of previously experienced pain. 150 patients participated in the study, they all reported aggravation of the chronic low back pain syndrome. The study was a cross-sectional study, based on questionnaires. On the third day of treatment the subjects were given the following questionnaires: Trait Hope Scale, State Hope Scale, and Numerical Rating Scale of Pain to fill. Poor correlation was demonstrated to exist between hope-state and hope-pathways on the one hand, and the intensity of minimum pain level experienced during the first three days of treatment. It has been noted that the presence of pain at the time of filling questionnaires results in reducing the hope-state, but only in those persons, who had experienced severe pain previously. On the other hand, in case of patients who had experienced slight pain previously, the pain present when filling in the questionnaires is conducive to enhanced hope-state. The results of the study confirm the complex character of relations between hope and pain.
EN
Purpose: Assessment of pain intensity in patients with chronic low back pain in correlation with the clinical picture and illness acceptance. Material and methods: The study group included 120 patients (67 males and 53 females) aged 43.07 ± 8.74 years (range: 18 – 62 years) diagnosed with lumbosacral spine discopathy. The study was conducted between 2008 - 2010. Assessment tools used for the study included: pain intensity scale and Acceptance of Illness Scale (AIS). Results: Most often the pain was reported in the L4-L5 level of the lumbar spine. The duration of the illness ranged between 1-31 years (6.90 ± 6.47). The majority of the patients in the studied group were physical workers. Nearly half of the patients, 59 (49.16%) described their pain as moderate on a 5-point pain scale. No acceptance of illness according to the AIS scale was noted in 33 (27.5%) patients, the remaining 67 (72.5%) patients declared quite good and average good illness acceptance. We found no significant dependencies of the frequency of pain occurrence, pain intensity, its duration and the type of work. Conclusions: Pain reported due to chronic low back pain by the majority of the patients was of moderate intensity. No correlation was found between the pain and illness acceptance.
XX
Purpose: To assess pain levels of hemodialysis (HD) patients and to report pain management techniques. Materials and methods: A quantitative descriptive study design with a summative approach to qualitative analysis was held, with a personal interview of the HD patients in a Southern European city hospital (n=70), using the Visual Analog Scales (VAS), the Wong-Baker Pain Scales (WBPS) and McGill Pain Questionnaire. People confused or in a coma, with hearing or reading problems and inability to communicate in the spoken language were excluded. Results: Renal patients under investigation were 69.72 ±12.45 years old, male (58.5%) and on HD for 35.5 ± 27.4 months. In the Wong Baker Scale, pain was rated as “hurts little more” 30.8%, (n=20) and in the VAS 30.8% (n=20) reported 6/10 the amount of pain experienced. Forty-six percent pinpointed internal pain in the legs. Pain experienced was characterized as sickening (70.8%), tiring (67.7%), burning (66.2%), rhythmic (86.2%), periodic (66.2%) and continuous (61.5%). The patients studied mainly manage pain either with warm towel/cloth (85.2% females and all male patients), with massage (84.2% and 88.9%, respectively) or painkillers (47.4% and 52.6%, respectively). In a correlation of gender and pain management techniques, statistical significance was found only with warm towel (p=0.038). Conclusions: As renal patients are an increasing group of healthcare service users, and pain is affecting their everyday life, it is essential to individualize pain evaluation and to provide further education to clinical nurses so that they can effectively manage pain.
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Zjawisko bólu i sposoby jego leczenia

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EN
Pain is one of the main problems of contemporary medicine. It has a significant meaning for the recognition of the disease process but it also indicates a threat to the organism. Pain is a complex phenomenon. The beginning of the route of pain information is a damaged tissue or organ, then afferent nerve fibers and the spinal cord, and the brain at the end. With the development of knowledge of pain, reasearches tend to elaborate new, effective methods of pain treatment. Contemporary medicine, apart from the pharmacological agents, offers different drug-free methods: ranging from blocking of individual nerves to the neurosurgical treatment.
XX
Background. In general practice, dysfunctions within the locomotor system are a recurring health issue. Most frequently, diagnoses and treatments relate to pain syndromes of the backbone, the shoulder girdle or the pelvic girdle. The authors believe that physiotherapy, along with other clinical disciplines, should be regarded as an important factor which influences the effectiveness of the therapeutic process in this area. In primary care, treatment of musculoskeletal disorders – especially at the stage of early clinical symptoms – should incorporate basic physiotherapy methods, e.g., massage, physical procedures, kinesiotherapy and the underrated education of the patient. Restoring appropriate spatial arrangement of tissues provides the right conditions for the regeneration and repair of muscles, ligaments and tendons, although it is a process that requires a long time. Therefore, it can be very important to introduce self-therapy in the form of systematically repeated, easy-to-replicate procedures in the scope of self-massage and self-kinesiotherapy. Objectives. This paper presents the impact of physiotherapy in treating selected disorders and pain syndromes of the locomotor system with particular attention to the role of massage. Emphasis is placed on the meaning of self-massage in the process of restoring structural balance of tissues. The model of active inclusion of the patient in the treatment process as preparation for self-therapy is presented. This paper aims to justify the need to reorganize health services provided through general practicioners within the National Health Fund network by incorporating physiotherapy in primary care.
XX
A significant decrease in physical activity and a growing incidence of obesity are becoming problems of contemporary times, the economic and social costs of which we are bound to face. The systemic actions undertaken are aimed at creating space for physical activity and shaping health-oriented attitudes among children and young people. Promotion of health-oriented attitudes among children is one of the ways of preventing illnesses associated with lifestyle, and are also a significant factor influencing the condition of society and future generations. This study forms a preliminary evaluation of attitudes among primary school students in Lublin towards physical activity – its preferred forms and frequency. Moreover, the study presents a preliminary and general analysis of pain within the locomotor system in children. A survey in the form of a questionnaire was conducted in a primary school in Lublin among children at various stages of education. The questionnaire contained data about the children’s age and gender. Other questions concerned preferred forms of physical activity, its frequency and attitudes of schoolchildren to physical activity. The results obtained indicate that the majority (99%) of the children definitely like to undertake physical activity in various forms and they regard it as fun and an interesting way of spending free time. A significant share (51%) of the respondents reply that they undertake physical activity every day (apart from activities organized at school). However, the number of affirmative answers to the question about pain is worrying. The results obtained demonstrate quite a high level of physical activity among schoolchildren. However, the alarming results concerning incidences of pain (47%) point to the need for further indepth research on this area.
EN
The purpose of the investigation was to establish the relationship between beliefs about pain control and pain coping strategies and predictors of pain coping strategies. 103 patients with rheumatoid arthritis participated in the study – 59 were women, 43 men. The mean of age was 38.1. Beliefs about Pain Control (BPCQ) prepared by Skevington and Pain Coping Strategies Questionnaire developed by Rosenstiel and Keefe were used in the study. The results indicated on the differentiation in choice of pain coping strategies dependently from beliefs about pain control and revealed predictors for two pain coping strategies. Predictor of diverting attention appeared internal control and predictors of catastrophizing appeared all three kinds of pain control.
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EN
In the summer of 2016, black, disabled, and gay 14-year-old Jerika Bolen announced her decision to die. The public conversation surrounding Bolen’s decision, launched through a series of newspaper articles announcing a ‘last dance’ prom, offers a case-study through which to explore how pain frustrates an analysis of the biopolitical formations that shape both right-to-die discussions and decisions. In doing so, this article offers two interventions. It reveals how dominant views of pain and disability shape and limit how we make sense of Jerika’s life and death. It also highlights the analytical leverage that this critical approach offers by reading Bolen’s death as a form of what critical theorist Lauren Berlant calls ‘slow death’ or the gradual wearing out of populations. In this way, I extend conversations within critical theory that seek to trace the slower and more sustained impacts of structural oppression. In looking at the convergence of the biopolitics and necropolitics of disability, race, class, gender, and sexuality, I suggest Bolen’s death and the ‘last dance’ that launched an international public conversation about it function as a celebration of slow death facilitated, in part, by dominant views of pain and disability.
Ethics in Progress
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2013
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vol. 4
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issue 2
18-33
EN
Acting and suffering subjectivity makes a grand sujet in Ricoeur's philosophy. In his Time and Narrative Ricoeur created the notion of narrative identity which is an individual internalized and evolving life strory. The narrative alone might define the “who”. Whoever lives and exists, suffers. Ricoeur metaphorically defined life as a cloth. We can add, Wiercinski continues, that this cloth is woven with pain. It is pain which makes the cloth, and, at the same time, it is also a joy of the human condition. As humans, we are called to wear this cloth as well as to understand what does it mean - from the hermeneutic perspective.
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Prečo je nás teraz toľko psychicky nezdravých?

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EN
This study is based on the WHO’s conception of health as optimal physical, mental and social well-being. The paper outlines historical changes in the structure of illness incidence. General causes of rising illness incidence are: the lengthening of human life expectancy (illustrated by international statistics), inadequate diet (especially obesity), and physical inactivity (the ‘wellness’ movement). The increasing occurrence of mental illness is analyzed on the basis of several tendencies. These are: weaker adaptability of the human organism to abrupt changes in life; the mass disintegration of the human personality in industrial countries; the consequences for harmonious co-habitation of the enormous differentiation of personalities; individuals’ lifestyle in the so-called performance society; consequences of changes in traditional values.
Avant
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2019
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vol. 10
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issue 2
EN
Nanay (2017) argues for unconscious mental imagery, inter alia based on the assumption that successful performance in imagery tasks requires the manipulation of mental imagery. I challenge this assumption with the help of results presented in Shepard and Metzler (1971), Zeman et al. (2010), and Keogh and Pearson (2018). The studies suggest that imagery tasks can be successfully performed by means of cognitive/propositional strategies which do not rely on imagery.
EN
Introduction and aim. This study evaluated whether ethyl chloride spray had an analgesic effect on pain intensity caused by venepuncture compared to a placebo. Material and methods. A total of 339 patients were randomly divided into two groups: The group in which ethyl chloride spray was applied (n=212) and the placebo group (n=127). The analgesic efficacy of ethyl chloride spray was compared with the placebo group using the Visual Analog Scale (VAS). Results. When the analgesic efficacy of ethyl chloride spray was compared with the placebo group, the VAS score was 4 [interquartile range (IQR): 1.0] for the ethyl chloride spray group and 5 (IQR: 2.0) for the placebo group. The efficacy of ethyl chloride spray in reducing pain was statistically significant compared to the placebo (p<0.001). Conclusion. Ethyl chloride spray has analgesic activity in venepuncture. Therefore, this spray can be used at the emergency departments to reduce pain intensity in patients undergoing such interventions.
EN
Introduction: Alternative therapeutic methods are used frequently by health care professionals for pain management, particularly for patients whose disease is in advanced stage. Purpose: To assess attitudes toward alternative methods for pain management among patients and nurses. Results: This study’s sample is comprised by patients and nurses randomly selected from three general hospitals in Athens, Greece. This is a quantitative descriptive study with the demographic factors association. Two questionnaires were used, which were answered under the principals of anonymity and confidentiality with synchronic design and survey elements to record nurses’ and patients’ knowledge and attitude concerning implementation of alternative methods for pain management. Results: Patients clinic and age do not seem to affect the implementation of alternative methods for pain management. Regarding the profession, the average reported pain score for manual workers is 3.25 (ranged from 1 to 5), whereas, the score for self-employed is 9.75 (ranged from 1 to 10). Pain intensity score decreases from 4.52 ± 3.3 to 1.92 ± 2.8 after the use of at least one alternative method for pain management (p<0.001). Only 19.7% of nurses reported that they used alternative methods for pain management and 23% suggested them to patients. Less than 15% of nurses are not willing to be trained in alternative methods for pain management. Conclusion: These results show that pain should be managed by combined conventional and alternative interventions and patients’ opinion should be taken into account.
EN
This paper deals with critical analysis of western hedonism in the light of Indian theory of peace. Indian Philosophers have made ‘peace’ the goal of worldly human life, which is keeping equidistance from pleasure and pain. Attachment is the reason behind the presence of these two ‘sovereign masters’ of Human life. External thing or any other human being is not capable of indulging us either of them; it is the worldly attachment which brings Pleasure and pain. Pleasure and pain always come together. Western Hedonists could not go to the root of pleasure or pain in life. Their observation was mere empirical. Indian thinkers, except those of Carvaka school, have given a particular philosophy which is Peace oriented and which finds worldly pleasures or pains temporary and mostly ‘man-made’.
EN
Background: The most common symptom among people suffering from spinal degeneration is pain. The character of the pain is usually intermittent – periods of increased pain are interchangeable with periods of remission. The perception of pain can be affected by various physical (obesity, lack of activity, non-observance of ergonomics at work), as well as psychological factors – emotional, cognitive and personality. In treatment of pain, rehabilitation (kinesiotherapy and physiotherapy) is of paramount importance. During periods of severe pain, rehabilitation should be complemented with pharmacological treatment. Furthermore, during those periods some patients are qualified for neurosurgical operations. Doctors from different specialties (orthopaedists, neurologists, doctors of rehabilitation medicine), to whom patients suffering from discopathy are referred, often do not notice the need to suggest, apart from the abovementioned treatments, psychological consultation. Aim of the study: The aim of this study was to assess the relationship between pain perception and the personality type in a group of patients with diagnosed discopathy. Material and methods: The study population comprised of 101 patients (68 women and 33 men) who were hospitalised in Jasinski Provincial Rehabilitation Hospital in Zakopane (Wojewódzki Szpital Rehabilitacyjny), between January and March 2012. Results: Significant difference in pain perception was found between groups of extroverts and introverts. No significant difference was found between groups of neurotics and the emotionally stable. Conclusions: Results of the conducted study show that introverts described pain as stronger than extroverts. Therefore, it is worth to consider adding psychological support, appropriate to a patient’s personality type, to comprehensive therapy for diagnosed discopathy, which already includes an individualised physiotherapy program and drug regimen.
PL
Wstęp: U osób z rozpoznanymi zmianami dyskopatycznymi kręgosłupa najczęstszym objawem procesu chorobowego jest ból, który na ogół ma charakter przerywany – etapy nasilenia dolegliwości są przeplatane okresami remisji. Na odczuwane przez pacjentów dolegliwości bólowe wpływają różnorodne czynniki zarówno fizyczne (otyłość, brak aktywności ruchowej, nieprzestrzeganie zasad ergonomii pracy), jak i psychologiczne, czyli poznawcze, emocjonalne oraz osobowościowe. W leczeniu bólu podstawowe znaczenie ma rehabilitacja (kinezy- oraz fizykoterapia), która jest uzupełniana w okresach zaostrzeń leczeniem farmakologicznym. Niektórzy pacjenci, w przypadkach nasilonego bólu, zostają zakwalifikowani do przeprowadzenia operacji neurochirurgicznej. Lekarze różnorodnych specjalności (ortopedzi, neurolodzy, specjaliści rehabilitacji medycznej), do których zostają skierowani przez lekarza rodzinnego chorzy z zespołem bólowym kręgosłupa w przebiegu dyskopatii, często nie dostrzegają potrzeby zaproponowania pacjentowi, oprócz wyżej wymienionego leczenia, konsultacji psychologicznej. Cel pracy: Zbadanie zależności pomiędzy percepcją bólu a typem osobowości w grupie pacjentów z rozpoznaną dyskopatią. Materiał i metody: Badaniem objęto 101 pacjentów (68 kobiet i 33 mężczyzn) hospitalizowanych pomiędzy styczniem a marcem 2012 roku w W ojewódzkim Szpitalu Rehabilitacyjnym im. S. Jasińskiego w Z akopanem, u których dyskopatia została potwierdzona badaniami obrazowymi. Wyniki: W badanej grupie pacjentów stwierdzono różnice w deklarowanym odczuwaniu bólu u osób ekstra- i introwertywnych. Poziom doświadczanego bólu nie różnił się w grupie osób neurotycznych i zrównoważonych emocjonalnie. Wnioski: W przeprowadzonym badaniu introwertycy opisywali odczuwany ból jako silniejszy niż ekstrawertycy, dlatego w kompleksowej terapii osób z rozpoznaną dyskopatią, oprócz zastosowania zindywidualizowanego programu fizjoterapii oraz leczenia farmakologicznego, należy rozważyć celowość wsparcia psychologicznego dostosowanego do określonego typu osobowości pacjenta.
Puls Uczelni
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2014
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issue 4
35-38
PL
Wstęp: Niezależnie od dyscypliny sportowej, zasad proflaktyki stosowanych przez sportowców, metod trenerskich i doświad- czenia, urazy i kontuzje towarzyszą sportowcom od zawsze. Są nieuniknione, a gdy się pojawią należy zastosować kompleksową terapię celem uniknięcia powikłań i kolejnych kontuzji. Materiał i metody: U kobiety-biegaczki wykonano masaż klasyczny przed-startowy i po-startowy, każdy trwający 10 minut oraz masaż tensegracyjny, w ilości 2 zabiegi po 45 minut. W masażu tensegracyjnym opracowano wybrane układy (I i II), w których tkanki wykazywały wzmożoną wrażliwość uciskową. Wyniki: Po zastosowaniu masażu klasycznego uzyskano zniesienie dolegliwości bólowej mięśni strzałkowych. Natomiast po wykonaniu masażu tensegracyjnego uzyskano zniesienie dolegliwości bólowej zlokalizowanej w okolicy więzadła pachwino- wego. Opracowanie tkanek będących w kontakcie bezpośrednim i pośrednim umożliwiło całkowite zniesienie dolegliwości bólowej. Wnioski: Masaż może być zabiegiem wykorzystywanym w przypadku uszkodzeń i przeciążeń tkanek miękkich występujących u sportowców. Dobór rodzaju masażu stosowanego u sportowców zawsze zależy od aktualnych objawów i potrzeb sportowca. Terapia powinna być zakończona edukacją sportowca dotyczącą działań proflaktycznych.
EN
Background: Regardless of the sport discipline, the rules of prophylaxis, coaching methods and experience, injuries and con- tusions in athletes occur. They are inevitable, and when they eventually appear, a comprehensive therapy should be applied to avoid complications and further injuries. Material and methods: A female runner was given a classical massage, before and after the training session each of 10 mi- nutes and, additionally, two sessions of 45-minute-tensegrity massage. Two diferent confgurations were worked out (I and II) because only selected connective tissues were intensively sensitive to compression. Results: After the classical massage the decrease in pain of fbular muscles (peroneus longus and brevis) was achieved, ho- wever, after the tensegrity massage the reduction of pain in inguinale ligaments was additionally observed. The massage of the tissues being in direct and indirect contact with the injured area resulted in complete pain elimination. Conclusions: Tensegrity massage can be used in the cases of connective tissue injuries and other mild injuries which are found in athletes. The choice of the type of the massage always depends on current symptoms and needs of the athletes. The therapy ought to be completed with the education on the preventive activities which athletes should follow.
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